| NPI | 1558550434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE KEITH GRAY Physician 216-261-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OH 35048187G) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2009-01-08 |